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Hawaii rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.21 / $60.21 / $60.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.39 / $56.42 / $84.63
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.57 / $29.38 / $65.70